| NPI | 1043689615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL BUSH CFO 405-285-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OK NH4208) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |